Healthcare Provider Details

I. General information

NPI: 1639749369
Provider Name (Legal Business Name): HUSAM SULAIMAN ALMAJED
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: HUSAM SULAIMAN A ALMAJED

II. Dates (important events)

Enumeration Date: 06/25/2021
Last Update Date: 07/22/2022
Certification Date: 07/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3838 CALIFORNIA STREET, SUITE 108 (CALIFORNIA PACIFIC O
SAN FRANCISCO CA
94118
US

IV. Provider business mailing address

1301 16TH ST APT 327
SAN FRANCISCO CA
94103
US

V. Phone/Fax

Practice location:
  • Phone: 415-668-8010
  • Fax: 415-752-2560
Mailing address:
  • Phone: 410-949-0995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberR22337
License Number StateZZ
# 2
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberA177790
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: